The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM D

Notice of Exempt Offering of Securities
OMB APPROVAL
OMB Number: 3235-0076
Estimated average burden
hours per response: 4.00

1. Issuer's Identity

CIK (Filer ID Number) Previous Names
X None
Entity Type
0001655840
   Corporation
X Limited Partnership
   Limited Liability Company
   General Partnership
   Business Trust
   Other (Specify)

Name of Issuer
Southern Cross Latin America Private Equity Fund V, L.P.
Jurisdiction of Incorporation/Organization
ONTARIO, CANADA
Year of Incorporation/Organization
   Over Five Years Ago
X Within Last Five Years (Specify Year) 2015
   Yet to Be Formed

2. Principal Place of Business and Contact Information

Name of Issuer
Southern Cross Latin America Private Equity Fund V, L.P.
Street Address 1 Street Address 2
C/O BLAKES EXTRA PROVINCIAL SERVICES 199 BAY STREET, SUITE 4000
City State/Province/Country ZIP/PostalCode Phone Number of Issuer
TORONTO ONTARIO, CANADA M5L 1A9 416-863-2400

3. Related Persons

Last Name First Name Middle Name
Southern Cross Capital Partners V, L.P. (Same)
Street Address 1 Street Address 2
c/o Blakes Extra-Provincial Services Inc 199 Bay Street, Suite 4000
City State/Province/Country ZIP/PostalCode
Toronto ONTARIO, CANADA M5L1A9
Relationship:    Executive Officer    Director X Promoter

Clarification of Response (if Necessary):

General Partner of the Issuer.
Last Name First Name Middle Name
Southern Cross Group Management, L.P. (Same)
Street Address 1 Street Address 2
c/o Blakes Extra-Provincial Services Inc 199 Bay Street, Suite 4000
City State/Province/Country ZIP/PostalCode
Toronto ONTARIO, CANADA M5L1A9
Relationship:    Executive Officer    Director X Promoter

Clarification of Response (if Necessary):

Management Company of the Issuer.
Last Name First Name Middle Name
SCGM S.A. (Same)
Street Address 1 Street Address 2
WTC FreeZone, Dr.Luis Bonavita 1294 Innovation Center: Oficina 102
City State/Province/Country ZIP/PostalCode
Montevideo URUGUAY CP 11300
Relationship:    Executive Officer    Director X Promoter

Clarification of Response (if Necessary):

General Partner of the General Partner and Management Company of the Issuer.
Last Name First Name Middle Name
Morita Norberto Oscar
Street Address 1 Street Address 2
WTC FreeZone, Dr.Luis Bonavita 1294 Innovation Center: Oficina 102
City State/Province/Country ZIP/PostalCode
Montevideo URUGUAY CP 11300
Relationship:    Executive Officer X Director X Promoter

Clarification of Response (if Necessary):

Director of General Partner of the General Partner and Management Company of the Issuer. The address set forth above is the business address SCGM S.A., the General Partner of the General Partner and Management Company of the Issuer.
Last Name First Name Middle Name
Rodriguez Ricardo
Street Address 1 Street Address 2
WTC FreeZone, Dr.Luis Bonavita 1294 Innovation Center: Oficina 102
City State/Province/Country ZIP/PostalCode
Montevideo URUGUAY CP 11300
Relationship:    Executive Officer X Director X Promoter

Clarification of Response (if Necessary):

Director of General Partner of the General Partner and Management Company of the Issuer. The address set forth above is the business address SCGM S.A., the General Partner of the General Partner and Management Company of the Issuer.
Last Name First Name Middle Name
Sotomayor Raul Francisco
Street Address 1 Street Address 2
WTC FreeZone, Dr.Luis Bonavita 1294 Innovation Center: Oficina 102
City State/Province/Country ZIP/PostalCode
Montevideo URUGUAY CP 11300
Relationship:    Executive Officer X Director X Promoter

Clarification of Response (if Necessary):

Director of General Partner of the General Partner and Management Company of the Issuer. The address set forth above is the business address SCGM S.A., the General Partner of the General Partner and Management Company of the Issuer.
Last Name First Name Middle Name
Villa Sebastian Agustin
Street Address 1 Street Address 2
WTC FreeZone, Dr.Luis Bonavita 1294 Innovation Center: Oficina 1022
City State/Province/Country ZIP/PostalCode
Montevideo URUGUAY CP 11300
Relationship:    Executive Officer X Director X Promoter

Clarification of Response (if Necessary):

Director of General Partner of the General Partner and Management Company of the Issuer. The address set forth above is the business address SCGM S.A., the General Partner of the General Partner and Management Company of the Issuer.
Last Name First Name Middle Name
Perez Barnes Cesar
Street Address 1 Street Address 2
WTC FreeZone, Dr.Luis Bonavita 1294 Innovation Center: Oficina 1022
City State/Province/Country ZIP/PostalCode
Montevideo URUGUAY CP 11300
Relationship:    Executive Officer X Director X Promoter

Clarification of Response (if Necessary):

Director of General Partner of the General Partner and Management Company of the Issuer. The address set forth above is the business address SCGM S.A., the General Partner of the General Partner and Management Company of the Issuer.
Last Name First Name Middle Name
Alende Serra Gonzalo Hernan
Street Address 1 Street Address 2
WTC FreeZone, Dr.Luis Bonavita 1294 Innovation Center: Oficina 1022
City State/Province/Country ZIP/PostalCode
Montevideo URUGUAY CP 11300
Relationship:    Executive Officer X Director X Promoter

Clarification of Response (if Necessary):

Director of General Partner of the General Partner and Management Company of the Issuer. The address set forth above is the business address SCGM S.A., the General Partner of the General Partner and Management Company of the Issuer.

4. Industry Group

   Agriculture
Banking & Financial Services
   Commercial Banking
   Insurance
   Investing
   Investment Banking
X Pooled Investment Fund
   Hedge Fund
X Private Equity Fund
   Venture Capital Fund
   Other Investment Fund
Is the issuer registered as
an investment company under
the Investment Company
Act of 1940?
   Yes X No
   Other Banking & Financial Services
   Business Services
Energy
   Coal Mining
   Electric Utilities
   Energy Conservation
   Environmental Services
   Oil & Gas
   Other Energy
Health Care
   Biotechnology
   Health Insurance
   Hospitals & Physicians
   Pharmaceuticals
   Other Health Care
   Manufacturing
Real Estate
   Commercial
   Construction
   REITS & Finance
   Residential
   Other Real Estate
  
 Retailing
  
 Restaurants
Technology
   Computers
   Telecommunications
   Other Technology
Travel
   Airlines & Airports
   Lodging & Conventions
   Tourism & Travel Services
   Other Travel
  
 Other

5. Issuer Size

Revenue Range OR Aggregate Net Asset Value Range
   No Revenues    No Aggregate Net Asset Value
   $1 - $1,000,000    $1 - $5,000,000
   $1,000,001 - $5,000,000    $5,000,001 - $25,000,000
   $5,000,001 - $25,000,000    $25,000,001 - $50,000,000
   $25,000,001 - $100,000,000    $50,000,001 - $100,000,000
   Over $100,000,000    Over $100,000,000
X Decline to Disclose    Decline to Disclose
   Not Applicable    Not Applicable

6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)

   Rule 504(b)(1) (not (i), (ii) or (iii))
   Rule 504 (b)(1)(i)
   Rule 504 (b)(1)(ii)
   Rule 504 (b)(1)(iii)
   Rule 505
X Rule 506(b)
   Rule 506(c)
   Securities Act Section 4(a)(5)
X Investment Company Act Section 3(c)
X Section 3(c)(1)    Section 3(c)(9)  
   Section 3(c)(2)    Section 3(c)(10)
   Section 3(c)(3)    Section 3(c)(11)
   Section 3(c)(4)    Section 3(c)(12)
   Section 3(c)(5)    Section 3(c)(13)
   Section 3(c)(6)    Section 3(c)(14)
   Section 3(c)(7)

7. Type of Filing

   New Notice Date of First Sale 2015-10-21    First Sale Yet to Occur
X Amendment

8. Duration of Offering

Does the Issuer intend this offering to last more than one year?
X Yes    No

9. Type(s) of Securities Offered (select all that apply)

   Equity X Pooled Investment Fund Interests
   Debt    Tenant-in-Common Securities
   Option, Warrant or Other Right to Acquire Another Security    Mineral Property Securities
   Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security    Other (describe)

10. Business Combination Transaction

Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer?
   Yes X No

Clarification of Response (if Necessary):

11. Minimum Investment

Minimum investment accepted from any outside investor $0 USD

12. Sales Compensation

Recipient
Recipient CRD Number    None
Stanwich Advisors LLC 124667
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
One Dock Street
City State/Province/Country ZIP/Postal Code
Stamford CONNECTICUT 06902
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
X Foreign/non-US

13. Offering and Sales Amounts

Total Offering Amount USD
or X Indefinite
Total Amount Sold $515,812,114 USD
Total Remaining to be Sold USD
or X Indefinite

Clarification of Response (if Necessary):

In respect of the response to Item 8 of this Form D, such response is based on the date of the Issuer's initial closing.

14. Investors

  
 Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering.
Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering:
51

15. Sales Commissions & Finder's Fees Expenses

Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.

Sales Commissions $200,000 USD
   Estimate
Finders' Fees $0 USD
   Estimate

Clarification of Response (if Necessary):

The aggregate amount of sales commissions to be paid to the recipient in Item 12 of this Form is subject to certain contingencies to be determined in connection with the Issuer's final closing.

16. Use of Proceeds

Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.

$0 USD
X Estimate

Clarification of Response (if Necessary):

An affiliate of the Issuer's General Partner may be entitled to receive a management fee in accordance with the Issuer's Amended and Restated Limited Partnership Agreement, as amended from time to time.

Signature and Submission

Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.

Terms of Submission

In submitting this notice, each issuer named above is:
  • Notifying the SEC and/or each State in which this notice is filed of the offering of securities described and undertaking to furnish them, upon written request, in the accordance with applicable law, the information furnished to offerees.*
  • Irrevocably appointing each of the Secretary of the SEC and, the Securities Administrator or other legally designated officer of the State in which the issuer maintains its principal place of business and any State in which this notice is filed, as its agents for service of process, and agreeing that these persons may accept service on its behalf, of any notice, process or pleading, and further agreeing that such service may be made by registered or certified mail, in any Federal or state action, administrative proceeding, or arbitration brought against the issuer in any place subject to the jurisdiction of the United States, if the action, proceeding or arbitration (a) arises out of any activity in connection with the offering of securities that is the subject of this notice, and (b) is founded, directly or indirectly, upon the provisions of:  (i) the Securities Act of 1933, the Securities Exchange Act of 1934, the Trust Indenture Act of 1939, the Investment Company Act of 1940, or the Investment Advisers Act of 1940, or any rule or regulation under any of these statutes, or (ii) the laws of the State in which the issuer maintains its principal place of business or any State in which this notice is filed.
  • Certifying that, if the issuer is claiming a Regulation D exemption for the offering, the issuer is not disqualified from relying on Regulation D for one of the reasons stated in Rule 505(b)(2)(iii) or Rule 506(d).

Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.

For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.

Issuer Signature Name of Signer Title Date
Southern Cross Latin America Private Equity Fund V, L.P. Gonzalo Alende Serra Gonzalo Alende Serra Authorized Person 2016-11-05

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.

* This undertaking does not affect any limits Section 102(a) of the National Securities Markets Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot routinely require offering materials under this undertaking or otherwise and can require offering materials only to the extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.